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Study on Performance of New Cooperative Medical System in Fujian （2004-2009）

Author: WuYanLing
Tutor: ZhengZhen；PanBaoJun
School: Fujian Medical
Course: Social Medicine and Health Management
Keywords: The new type of rural cooperative medical system (NCMS ) Operational performance Influencing factors Comprehensive Evaluation Fujian Province
CLC: R197.1
Type: Master's thesis
Year: 2010
Downloads: 220
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Abstract


Purpose of Fujian Province in 2004-2009, the new rural cooperative operation analysis, a comprehensive evaluation and the 2007-2009 run performance analysis of influencing factors, problems and suggestions. The method of collecting the Fujian Province in 2004-2009, the new rural cooperative patient compensation database and related reports, updated by the Ministry of Health in 2009, the new rural cooperative run 9 indicators package SPSS 11.5 statistical analysis; rapid comprehensive evaluation method. Using literature method, survey method to collect the required information to run the data based on survey data and related literature for additional research. The results are summarized as follows: the past six years, Fujian Province, NRCMS from pilot to fully open the smooth progress of the work and greatly improved performance quite significantly. The farmers participation rate (from 68.5% to 95.3%); funding increase per capita to 100 yuan ($ 30); hospitalized actual compensation than the overall upward trend (reached 36.2% in 2009); hospitalization burden has been reduced the adjusted value of the hospital expenses (hospitalization costs / per capita income) generally show a downward trend (the first two years was 0.87 to 0.92,2009 only 0.61); basically completed the construction of information networks in eight districts and cities to promote the instant knot discharged reported. Farmer Participation \2 to carry out a comprehensive evaluation of the new rural cooperative performance, found that the main influencing factors. In this study, a rapid comprehensive evaluation method of the 9 indicators of the Ministry of Health, to be improved to make it more in line with our province, the evaluation results are consistent with the province NRCMS performance distribution; logistic regression analysis to understand the results of the comprehensive evaluation of the new rural cooperative performance the main factors affecting patient compensation benefit rate (OR = 20.355), the actual patient compensation pool fund utilization ratio (OR = 1.508 ~ 1.776) and (OR = 1.149). 3. Of Fujian NRCMS work there is a problem: the per capita level of funding and the way is not flexible enough and diverse, uncoordinated with the local level of health care costs; the grassroots medical the health institutions Shang Daijian full; lack of effective regulatory methods and measures of medical expenses; recent years reduce not enough significant residential own expense; agencies of human and material resources, and management capabilities need to be strengthened and training; generally discharged from hospital reimbursement compensation is not enough time in a timely manner. The study also proposed established scientific funding mechanisms, standardized and highly efficient means of financing; scientific calculations compensation program to improve the effectiveness of the new rural cooperative fund compensation; improve the service capacity of the primary health care sector, regulate the behavior of designated medical institutions; promote new agricultural legitimate system management, to improve integrated management effects; strengthen the supervision of the medical costs, control rising health care costs and other five recommendations. The main conclusions are summarized as follows: 1. Province NRCMS results significantly: farmers increase the participation rate of increase in per capita funding level, the actual compensation rose slightly reduced hospitalization burden basically completed the construction of information networks in eight districts and cities to promote the discharged instant summary report to ease farmers' poverty caused by returning to poverty. Comprehensive evaluation of the operational performance worthy of implementation, worthy of study: We learn from the new rural cooperative research centers of the Ministry of Health to improve and improve, so localized, comprehensive evaluation using nine indicators, in line with the actual situation in our province, it is practicable 's. 3. Fujian Province, the new rural cooperative work: flexible per capita level of funding and the way is not enough, the primary health care sector and the level institutions are weak, and the supervision of the medical expenses are not strong enough.

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CLC: > Medicine, health > Preventive Medicine,Health > Health care organizations and career ( Health Management ) > Health care systems and institutions > Health care system
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